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非洲围手术期护理教育的现状:一项范围综述。

The landscape of perioperative nursing education in Africa: a scoping review.

作者信息

Wong Maddie, Banda Zione, Nabulime Josephine, Matunda Nira, Nkangala Edina, Silvers Rebecca

机构信息

Center for Global Nursing, University of California, San Francisco, San Francisco, CA, United States.

Queen Elizabeth Central Hospital, Blantyre, Malawi.

出版信息

Front Med (Lausanne). 2024 Sep 13;11:1432262. doi: 10.3389/fmed.2024.1432262. eCollection 2024.

DOI:10.3389/fmed.2024.1432262
PMID:39346941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11427390/
Abstract

BACKGROUND

Not everyone across the globe has access to safe surgical care. There exist stark disparities in surgical mortality between high-income and low-and middle-income countries. Quality perioperative care across the surgical care continuum can mitigate these disparities. Nurses play a vital role in providing quality perioperative care and their competency in perioperative nursing directly impacts surgical outcomes. Across Africa, formal educational opportunities for nurses in perioperative care is not well understood.

METHODS

This is an informal scoping review of the existing literature investigating the current state of perioperative nursing education across the African continent. Ten articles were included in the analysis.

RESULTS

Few programs exist across Africa that provide specialized training for nurses in perioperative medicine. Programs that have been formally evaluated show improved knowledge and clinical skills among nurses.

CONCLUSION

Greater research is necessary to establish a more robust evidence base in support of increasing access to perioperative nursing education to improve patient outcomes. Obstacles remain to designing, implementing, and evaluating new educational programs.

摘要

背景

并非全球所有人都能获得安全的外科护理。高收入国家与低收入和中等收入国家在手术死亡率方面存在明显差距。手术护理全过程的高质量围手术期护理可以缩小这些差距。护士在提供高质量围手术期护理方面发挥着至关重要的作用,他们在围手术期护理方面的能力直接影响手术结果。在非洲,护士接受围手术期护理正规教育的机会情况尚不清楚。

方法

这是一项对现有文献的非正式范围综述,调查非洲大陆围手术期护理教育的现状。分析纳入了10篇文章。

结果

非洲很少有项目为护士提供围手术期医学的专门培训。经过正式评估的项目显示护士的知识和临床技能有所提高。

结论

需要进行更多研究以建立更有力的证据基础,支持增加围手术期护理教育的可及性以改善患者结局。在设计、实施和评估新的教育项目方面仍然存在障碍。

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The landscape of perioperative nursing education in Africa: a scoping review.非洲围手术期护理教育的现状:一项范围综述。
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本文引用的文献

1
Knowledge and practice of nurses with respect to perioperative hypothermia prevention in the Northwest Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study.关于埃塞俄比亚阿姆哈拉地区转诊医院护士对围手术期低体温预防的知识和实践:一项横断面研究。
BMJ Open. 2023 Dec 13;13(12):e068131. doi: 10.1136/bmjopen-2022-068131.
2
Perioperative medicine.围手术期医学
Future Healthc J. 2022 Jul;9(2):138-143. doi: 10.7861/fhj.2022-0051.
3
The health workforce status in the WHO African Region: findings of a cross-sectional study.世卫组织非洲区域卫生人力状况:一项横断面研究的结果。
BMJ Glob Health. 2022 May;7(Suppl 1). doi: 10.1136/bmjgh-2021-008317.
4
Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.增加对围手术期安全指南的依从性与改善患者安全结果相关:一项阶梯式、集群随机、多中心试验。
Br J Anaesth. 2022 Mar;128(3):562-573. doi: 10.1016/j.bja.2021.12.019. Epub 2022 Jan 15.
5
National surgical, obstetric, anaesthesia and nursing plan, Nigeria.尼日利亚国家外科、产科、麻醉和护理计划。
Bull World Health Organ. 2021 Dec 1;99(12):883-891. doi: 10.2471/BLT.20.280297. Epub 2021 Sep 28.
6
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
7
Emergency, critical and operative care services for effective primary care.提供急诊、重症及手术护理服务以实现有效的初级保健。
Bull World Health Organ. 2020 Nov 1;98(11):728-728A. doi: 10.2471/BLT.20.280016.
8
The development of critical care nursing education in Zambia.赞比亚危重病护理教育的发展。
Br J Nurs. 2020 May 14;29(9):499-505. doi: 10.12968/bjon.2020.29.9.499.
9
Global burden of postoperative death.术后死亡的全球负担。
Lancet. 2019 Feb 2;393(10170):401. doi: 10.1016/S0140-6736(18)33139-8.
10
Building the Case for Nurses' Continuous Professional Development in Ethiopia: A Qualitative Study of the Sick Kids-Ethiopia Paediatrics Perioperative Nursing Training Program.为埃塞俄比亚护士持续专业发展提供依据:对埃塞俄比亚病童围手术期儿科护理培训项目的定性研究
Ethiop J Health Sci. 2018 Sep;28(5):607-614. doi: 10.4314/ejhs.v28i5.12.